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Understanding Pickleball Elbow: Symptoms, Causes, and Treatment

Coastal Region / 14 Apr 2025

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by EmergeOrtho
Understanding Pickleball Elbow: Symptoms, Causes, and Treatment

As pickleball’s popularity grows, so does the occurrence of a common injury known as pickleball elbow. Similar to tennis elbow, this condition affects players across all skill levels.

Knowing about pickleball elbow is essential for both prevention and recovery. This guide delves into what pickleball elbow is, its symptoms and causes, effective prevention strategies, and treatment options to alleviate discomfort and restore mobility. Whether you’re experienced or just beginning, this information will help you enjoy pickleball while keeping your elbows healthy.

What is Pickleball Elbow?

Pickleball elbow, or lateral epicondylitis, is characterized by pain and inflammation on the outer part of the elbow. This injury is often linked to repetitive wrist and arm movements, common in playing pickleball, which has surged in popularity recently. The condition arises from overusing the forearm muscles and tendons, leading to microtears in the tendons attached to the elbow.

While similar to tennis elbow, pickleball elbow can affect a broader range of players, including those unfamiliar with traditional racquet sports. Both conditions share symptoms such as pain and tenderness around the elbow, but pickleball elbow can be aggravated by the unique strokes and quick movements of the game.

Pickleball elbow typically affects individuals aged 40 and older, who often have decreased tendon elasticity and increased participation in recreational activities. Both men and women are equally susceptible, especially as the sport gains traction across various age groups. Understanding the nature and implications of pickleball elbow is vital for prevention and treatment, ensuring players can continue to enjoy the sport.

Symptoms and Causes of Elbow Pain

Pickleball elbow is marked by pain and discomfort around the outer elbow. Common pickleball elbow symptoms include aching or burning pain on the outside of the elbow, which may radiate down the forearm. Players often report difficulty gripping objects, weakness in the wrist and hand, and increased pain during activities involving wrist extension, such as serving or hitting the ball. These pickleball elbow symptoms can significantly impact performance and enjoyment of the game.

Mechanical and technique-related causes often stem from improper form or overuse. Players using incorrect grip techniques, poor stroke mechanics, or engaging in repetitive arm movements without adequate rest are more prone to developing this condition. Additionally, using equipment that does not suit one’s playing style or physical capabilities can contribute to pickleball elbow. Choosing the best pickleball paddle for tennis elbow can mitigate these risks.

Several risk factors can increase the likelihood of experiencing pickleball elbow, including age, as older players may have less flexibility and strength in their muscles and tendons. Pre-existing conditions, like previous elbow injuries or tendonitis, can also heighten the risk. Individuals who play frequently or at high intensity without proper conditioning and warm-up routines are more susceptible. Recognizing these symptoms and causes helps players take proactive measures to prevent pickleball elbow and continue enjoying the sport.

How to Prevent Pickleball Elbow

Preventing pickleball elbow starts with proper techniques and mechanics during play. Maintaining a neutral wrist position while hitting the ball reduces undue stress on the elbow joint. Additionally, correct footwork and body positioning help distribute the physical demands of the game more evenly across the body, minimizing injury risk.

Incorporating warm-up and stretching exercises into your routine is crucial for avoiding injuries like pickleball elbow. Before hitting the court, spend 10-15 minutes warming up your muscles with dynamic stretches, such as arm circles and trunk twists. Following your warm-up, static stretches targeting the forearms, wrists, and shoulders can improve flexibility and prepare your body for pickleball movements. Pickleball elbow exercises specifically designed to strengthen and stretch the forearm muscles can be particularly beneficial.

Using appropriate equipment and gear is essential for injury prevention. Choose a paddle that suits your playing style and offers the right grip size, as this can significantly affect your playing mechanics. Using the best pickleball paddle for tennis elbow can help reduce strain. Wearing supportive shoes designed for court sports enhances stability and reduces the risk of falls or awkward movements that could lead to injury. By paying attention to these factors, you can enjoy a more comfortable and safer experience on the pickleball court.

physical therapist with patient

Effective Treatment Options for Pickleball Elbow

Pickleball elbow, a common overuse injury among enthusiasts, can be managed effectively with various treatments. At-home treatments are often the first line of defense. Resting the affected arm, applying ice to reduce inflammation, and using over-the-counter pain relievers can provide significant relief. However, if symptoms persist for more than a week or if pain interferes with daily activities, it may be time to seek professional help. A healthcare provider can assess the condition’s severity and recommend a tailored treatment plan.

Physical therapy plays a crucial role in the recovery process for those suffering from pickleball elbow. A skilled physical therapist can guide you through pickleball elbow exercises designed to strengthen the muscles around the elbow, improve flexibility, and enhance overall function. They may also use techniques such as ultrasound therapy or manual therapy to reduce pain and promote healing. Wearing a pickleball elbow brace can provide additional support and alleviate symptoms during recovery.

Long-term management strategies are essential to prevent the recurrence of pickleball elbow. Incorporating a proper warm-up routine before playing, using correct techniques, and gradually increasing playing time can significantly reduce strain on your elbow. Additionally, focusing on overall strength and flexibility through regular exercise can help support joint health. By being mindful of your body and making these adjustments, you can continue to enjoy pickleball while minimizing the risk of future injuries.

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